Skills Ii Exam 1, Contact Dermatits And Minor Wounds

Front 1

What is irrirant conact dermatitis

Back 1

is an inflammtoary reaction of the skin that may appear after a single expousre of following mutiple exposures

Front 2

Can irrirtant directly damage the dermal cells

Back 2

YES

Front 3

What is important to know before treating ICD

Back 3

the qunaitty, concentration and lenght of exposure

Front 4

Strong checmials such as acids, and bases are more likely to produce immediate and severe inflammatory reactions, mild irriant such as detergants may require

Back 4

several exposure before the dermatisi appears

Front 5

What are major signs of ICD

Back 5

Stinging, buring early, redness, and itching later and vesciles and pustules and inflammation

Front 6

If patient remains free of the iritant, will the dermatitis resolve in serveral days

Back 6

YES

Front 7

What is the 1st approach to treatment of ICD

Back 7

wash the area with copious amounts of water, adn cleanse with a mild soap

Front 8

What is nonpharm treatment of ICD

Back 8

using protective clothing, gloves.

Front 9

What would you recommend to sooth and dry weep lesions

Back 9

Domeboro

Front 10

What is helping in treating the itching assoicated with ICD

Back 10

hydrocortisone, calamine, and colloidal otamenal baths

Front 11

What should not be used on ICD

Back 11

local anesthetic such as benzocaines

Front 12

What are the most common causes of ACD

Back 12

Posion icy/oak and sumac and nickel

Front 13

What does Posion ivy look like

Back 13

shub or climbing hairy vine, with 3 leaves

Front 14

What does Poision oak look like

Back 14

not a climbing vine 3 leaves generally

Front 15

Where does Poison Summac grow

Back 15

swampy areas and bogs

Front 16

Why does'nt ACD appear on first contact

Back 16

the immune system has to be sensitized 1st

Front 17

Why is ACD a delayed response

Back 17

type IV delayed hypersensitiviy reaction which may take 2 to 48 to develop

Front 18

Can ACD to spread, and how is it typically spread

Back 18

scratching the area may spread to other area if it has not be previously washed

Front 19

What are major signs and symptoms of mild ACD

Back 19

itching early, redness, inflammtion, vesicles, delayed

Front 20

Does mild poison ivy oak asumace often appear in a linear streaking arrangment

Back 20

YES

Front 21

Treated or untreated dermatiis will natually resolve in 10 to 21 day when should we refer on

Back 21

>14 days for dermatitis

Front 22

What is the first treatment appraoch of ACD

Back 22

washing the area, and cleansing with a mild soap

Front 23

In what time frame does cleansing the area reuces the immune reponse to posion ivy oak or summac dermatitis

Back 23

10 minutes

Front 24

How should on treat ACD itching

Back 24

calamine, hydrocorisone, menthol or phenol or camphor

Front 25

What are insturctuions you should given using calamine

Back 25

shaken well, and applied to the itchy or red area every 4 hours, it may leave a pink film

Front 26

Should local anestetic (benzocaines) be avoided

Back 26

YES

Front 27

What should not be used besides benzocaines of ACD

Back 27

antihistamines, or antibiotics--can causes rebound rash

Front 28

What is non-pharm treatment of ACD

Back 28

cool water compress to the affected area for as often as needed, or taking cool or tepid soapless hower to relieve the itching

Front 29

What are some pretective measure you should tell the invdidual to prevent ACD

Back 29

wear protective clothing, and wash separately from other clothes, and clean well under the finger nails

Front 30

What is a good preventive measure for preventing ACD

Back 30

using IVY BLOCK, applied 15 mintues before exposure and every 4 hours as needed

Front 31

What is hte most effective form of topical therapy for treating symptoms of mild to meoder ICD or ACD

Back 31

hydrocortisone

Front 32

What are directions for Hydrocortisone

Back 32

apply 3-4 times a day, up to 7 days

Front 33

What are the use of Antihistamines to treat poision ivy

Back 33

relieve pain, but only use on a small area (cause cuase rebound ithcing)

Front 34

What do you recommend for an opening and weeping blister or vesicle for ICD or ACD

Back 34

Deborow solution, topical hydrocotrisone CREAM, or collodial oatmeal baths

Front 35

What should individual avoid is the wound is wet or ozzing

Back 35

ointment and (CALAMINE) shake lotions

Front 36

What do you recommmend for ACD/ICD that is only red, ithcing and inflammation

Back 36

topcial hydrocortisone crea, or oint, shake lotion--calamine, or phenol,

Front 37

What are exclusion critera for ACD/ICD

Back 37

DES SINS
<2 years
>2 weeks
>25% of the body
Disconfort in genitalis
Extreme itching or irriation
Numerous or severe bullae or sever vesicle
Selling of the body and extemities
Swollen eye or eyelids or involment of MAN
Impairment of daily activities
Numerous bullae that are serve or vesicles that are severe

Front 38

Superficial burns only involve

Back 38

the epidermis

Front 39

What are signs and symptoms of superfical burns

Back 39

painful, redness, warmth and inflammation no blisters typically present

Front 40

What does Superfical Partial-thickness burtns involve

Back 40

the epidermis, and part of the dermis

Front 41

What are signs and symtpoms of superfical partial thickness burns

Back 41

often moist and weeping and painful,

Front 42

What are signs and symptoms of Deep partial thickness burns

Back 42

blanced color and intense pain

Front 43

What are signs and symptoms of Full thickness burns

Back 43

dry, and painless

Front 44

What are the only types of burns that are self-treatable

Back 44

superfical and superficial partial-thickness

Front 45

Is it important to asses burns both initally and again in 24 to 48 hrs

Back 45

YES

Front 46

What is the first things to treat minor burns

Back 46

cool the affected area in cool tap water (NO ICE) or use cool compress, and then gently cleanse the area

Front 47

What is second to treating a minor burn

Back 47

apply a skin protectant or lubricant

Front 48

How should one treat a burn that is weeping

Back 48

soak it in cool tap water 3-6 times a day for 15-30 minutes,

Front 49

What are the benefit of using skin protectant

Back 49

make the wound area less painful

Front 50

What is a recommened skin protectant

Back 50

A&D ointmetn with zinc oxide or Destin ointment

Front 51

What would you recommend for treat the pain of a minor burn

Back 51

preferally an NSAIDS, or APAP

Front 52

Can topical anestestic such as benzocaine be used for minor burns

Back 52

YES

Front 53

What is the con of using topical anestisc for burns

Back 53

continous pain relief cannot be achieved with these agents

Front 54

Would you use an antibiotic cream on a burn

Back 54

NO--low risk for infection, unless skin is broken

Front 55

What is last step in treating a minor burn

Back 55

apply a nonadherent dressing

Front 56

How would you cover a burn that are superficial with no blistering

Back 56

a normal band-aid

Front 57

How would you cover a burn that has blisters

Back 57

absorbent hydrocolloid dressings

Front 58

Exclusion criteria for minor burns

Back 58

>2 % BSA
Burns that involve GEEFH
Electrial or chemical inhalation burns
Advanced age
Diabetes or Immunocomproised or multiple medical disorders